Healthcare Provider Details

I. General information

NPI: 1194407304
Provider Name (Legal Business Name): RACHEL STOUT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W GRANT ST STE 201
LANCASTER PA
17603-3707
US

IV. Provider business mailing address

444 E ORANGE ST
LANCASTER PA
17602-3032
US

V. Phone/Fax

Practice location:
  • Phone: 717-723-9537
  • Fax:
Mailing address:
  • Phone: 717-609-5443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC014120
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014120
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: